<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-body">
                <form action="" class="form-horizontal row-border"  data-validate="parsley" id="validate-form">
                	<div class="row">

                   		<div class="form-group">
                   		 	<label class="col-sm-3 control-label">租柜区域</label>
                   		 	<div class="col-sm-6">
                                <select class="form-control" name="region_id" id="region_id">
                                    <option value="">选择区域</option>
                                    {foreach name="regions" item="v" key="k"}
                                    <option value="{$k}">{$v}</option>
                                    {/foreach}
                                </select>
                   		 	</div>
                   		 </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">起始编号</label>
                            <div class="col-sm-6">
                                <input type="text" id="start_no" required  name="start_no"  class="form-control" placeholder="大于0的整数">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">租柜数量</label>
                            <div class="col-sm-6">
                                <input type="text" id="count" required  name="count"  class="form-control" placeholder="大于0的整数">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">递增值</label>
                            <div class="col-sm-6">
                                <input type="text" id="inc_value" required  name="inc_value"  class="form-control" placeholder="大于0的整数">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">价格（元/月）</label>
                            <div class="col-sm-6">
                                <input type="text" id="price" required  name="price"  class="form-control" placeholder="0.00">
                            </div>
                        </div>
                	</div>
                </form>
            </div>
            <div class="panel-footer">
                <div class="row">
                    <div class="col-sm-6 col-sm-offset-3">
                        <div class="btn-toolbar">
                            <button class="btn-primary btn" id="form-submit">提交</button>
                            <button class="btn-default btn" data-dismiss="modal">关闭</button>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.GYM_VIEW_JS}cabinet/cabinetAdd.js'></script>